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AzTrials

Squamous Cell Carcinoma of the Anal CanalPhase 3NCT04472429

Carboplatin-paclitaxel With Retifanlimab or Placebo in Participants With Locally Advanced or Metastatic Squamous Cell Anal Carcinoma (POD1UM-303/InterAACT 2).

A Phase 3 study testing carboplatin, paclitaxel and retifanlimab in people with Squamous Cell Carcinoma of the Anal Canal, run by Incyte Corporation at 84 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is a Phase 3 global, multicenter, placebo-controlled double-blind randomized study that will enroll participants with inoperable locally recurrent or metastatic SCAC not previously treated with systemic chemotherapy. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
carboplatin, paclitaxel and retifanlimab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
308 participants
Where
84 sitesin 13 countries
Study dates
9 Nov 2020to 26 Sep 2025
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Able to comprehend and willing to sign a written ICF for the study.
  • Are 18 years of age or older (or as applicable per local country requirements).
  • Histologically or cytologically verified, inoperable locally recurrent or metastatic SCAC.
  • No prior systemic therapy other than the following: a. Chemotherapy administered concomitantly with radiotherapy as a radiosensitizing agent is permitted.
  • Prior neoadjuvant or adjuvant therapy if completed ≥ 6 months before study entry.
  • Has measurable disease per RECIST v1.1 as determined by local site investigator/radiology assessment. Tumor lesions situated in a previously irradiated area, or in an area subjected to other loco-regional therapy, are usually not considered measurable unless there has been demonstrated progression in the lesion.
Show all 10Show fewer
  • Able and willing to provide adequate tissue sample and whole blood sample with central testing result prior to randomization. Biopsy for archival samples should have occurred within 9 months prior to randomization.
  • ECOG performance status 0 to 1.
  • If HIV-positive, then must be stable as defined by: a. CD4+ count ≥ 200/μL, b. Undetectable viral load per standard of care assay, c. Receiving antiretroviral therapy (ART/HAART) for at least 4 weeks prior to study enrollment, and have not experienced any HIV-related opportunistic infection for at least 4 weeks prior to study enrollment.
  • Willingness to avoid pregnancy or fathering children

Who cannot join

  • Has received prior PD-(L)1 directed therapy
  • Has received prior radiotherapy with or without radiosensitizing chemotherapy within 28 days of Cycle 1 Day 1 except for palliative radiation (30 Gy or less) which is restricted for 14 days of Cycle 1 Day 1 (note: all toxicities associated should have resolved to Grade ≤ 1).
  • Participants with laboratory outside of the protocol defined ranges.
  • History of second malignancy within 3 years (with exceptions).
  • Clinically significant pulmonary, cardiac, gastrointestinal or autoimmune disorders.
  • Active bacterial, fungal, or viral infections, including hepatitis A, B, and C and IV antibiotic use within 7 days of Cycle 1 Day 1.
Show all 14Show fewer
  • Receipt of a live vaccine within 28 days of planned start of study therapy.
  • History of organ transplant, including allogeneic stem cell transplantation.
  • Known active CNS metastases and/or carcinomatous meningitis.
  • Known hypersensitivity to platinum, paclitaxel, another monoclonal antibody, or any of the excipients that cannot be controlled with standard measures (eg, antihistamines, corticosteroids).
  • Participant is pregnant or breastfeeding.
  • Current use of protocol defined prohibited medication.
  • Has pre-existing peripheral neuropathy that is ≥ Grade 2 by CTCAE v5.
  • Inability or unlikely, in the opinion of the investigator, to comply with the Protocol requirements

Trial locations and contacts

84 sites in 13 countries.

84 sites in 13 countries

France15 sites
  • Institut de Cancerologie de L Ouest - Site Paul Papin

    Angers, 49055

  • Chu Besancon Hospital Jean Minjoz

    Besançon, 25030

  • Centre Hospitalier Universitaire de Bordeaux

    Bordeaux, 33075

  • Centre Leon Berard

    Lyon, 69008

  • Chu Hopital de La Timone

    Marseille, 13385

  • Institut Du Cancer de Montpellier

    Montpellier, 34298

  • Centre Antoine Laccassagne

    Nice, 06200

  • Hospital Universitaire Pitie-Salpetriere

    Paris, 75651

  • Hospital de La Miletrie

    Poitiers, 86021

  • Chu de Rennes - Hospital Pontchaillou

    Rennes, 35033

  • Hopital Charles Nicolle Chu Rouen Hospital de Bois-Guillaume

    Rouen, 76031

  • Centre de Lutte Contre Le Cancer - Institut de Cancerologie de L'Ouest - Rene Gauducheau

    Saint-Herblain, 44800

  • Institut de Cancerologie de Strasbourg

    Strasbourg, 67200

  • Chu Toulouse Hopital Rangueil

    Toulouse, 31059

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

United States14 sites
  • Virginia Cancer Specialists, Pc

    Arlington, Virginia, 22205

  • Texas Oncology

    Austin, Texas, 78745

  • Maryland Oncology Hematology, P.A.

    Columbia, Maryland, 21044

  • Baylor Scott and White Research Institute

    Dallas, Texas, 75246

  • Rocky Mountain Cancer Center

    Denver, Colorado, 80218

  • City of Hope National Medical Center

    Duarte, California, 91010

  • Ochsner Clinic

    New Orleans, Louisiana, 70121

  • Blue Ridge Cancer Care

    Roanoke, Virginia, 24014

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • UC Davis Comprehensive Cancer Center

    Sacramento, California, 95817

  • Sansum Clinic

    Santa Barbara, California, 93105

  • Renovatio Clinical Consultants Llc

    The Woodlands, Texas, 77380

  • The University of Arizona Cancer Center

    Tucson, Arizona, 85724

  • Texas Oncology-Wichita Falls Texoma Cancer Center

    Wichita Falls, Texas, 76310

Other trials in United States

Italy12 sites
  • Fondazione Irccs Ca Granda Ospedale Maggiore

    Milan, 20122

  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Milan, 20162

  • Comitato Etico Fondazione Irccs Istituto Nazionale Dei Tumori Milano

    Milan, 20133

  • European Institute of Oncology

    Milan, 20141

  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Milan, 20162

  • University Di Cagliari-Presidio Policlinico Monserrato

    Monserrato, 09042

  • Azienda Ospedaliera Universitaria University Degli Studi Della Campania Luigi Vanvitelli

    Naples, 80131

  • Iov - Istituto Oncologico Veneto Irccs

    Padova, 35128

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56126

  • Ospedale Degli Infermi

    Rimini, 47923

  • I.R.C.C.S. Casa Sollievo Della Sofferenza

    San Giovanni Rotondo, 71013

  • Azienda Ospedaliero Universitaria Ospedali Riuniti

    Torrette, 60020

Other trials in Italy

United Kingdom12 sites
  • Royal Sussex County Hospital

    Brighton, BN2 5BE

  • Addenbrooke'S Hospital

    Cambridge, CB2 0QQ

  • Royal Surrey County Hospital

    Guildford, GU2 7XX

  • Castle Hill Hospital

    Hull, HU16 5JQ

  • Leeds Teaching Hospital

    Leeds, LS 9 7TF

  • Royal Free London Nhs Foundation Trust

    London, NW3 2QG

  • The Royal Marsden Nhs Foundation Trust - Chelsea

    London, SW3 6JJ

  • The Christie Nhs Foundation Trust Uk

    Manchester, M20 4BV

  • Churchill Hospital

    Oxford, OX3 7LE

  • Royal Preston Hospital

    Preston, PR2 9HT

  • The Royal Marsden Nhs Foundation Trust - Sutton

    Sutton, SM2 5PT

  • Royal Cornwall Hospital Truro Sunrise Centre

    Truro, TR1 3LQ

Other trials in United Kingdom

Spain8 sites
  • Complejo Hospitalario Universitario A Coruna

    A Coruña, 15006

  • Hospital General Universitario Vall D Hebron

    Barcelona, 08035

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario de La Paz

    Madrid, 28046

  • Son Espases University Hospital

    Palma de Mallorca, 07120

  • Hospital Universitario Virgen Del Rocio

    Seville, 41013

  • Hospital Universitario Miguel Servet

    Zaragoza, 50009

Other trials in Spain

Japan7 sites
  • National Cancer Center Hospital

    Chūōku, 104-0045

  • Kyushu University Hospital

    Fukuoka, 812-8582

  • Saitama Medical University International Medical Center

    Hidaka-shi, 350-1298

  • Aichi Cancer Center Hospital

    Nagoya, 464-8681

  • Osaka International Cancer Institute

    Osaka, 541-8567

  • Tohoku University Hospital

    Sendai, 980-8574

  • Center Hospital of the National Center For Global Health and Medicine

    Shinjuku-ku, 162-8655

Other trials in Japan

Australia3 sites
  • Flinders Medical Centre

    Bedford Park, South Australia, 5042

  • Monash Medical Centre Clayton

    Clayton, Victoria, 03168

  • Princess Alexandra Hospital Australia

    Woolloongabba, Queensland, 04102

Other trials in Australia

Germany3 sites
  • Universitatsklinikum Bonn Aoer

    Bonn, 53127

  • University Clinic Carl Gustav Carus Technical University Dresden

    Dresden, 01307

  • Asklepios Klinik Altona

    Hamburg, 22763

Other trials in Germany

Sweden3 sites
  • Sahlgrenska University Hospital

    Gothenburg, 413 45

  • Skaenes Universitetssjukhus Lund

    Lund, 22185

  • Stockholm South General Hospital Sodersjukhuset

    Stockholm, 118 83

Other trials in Sweden

Belgium2 sites
  • Zna Middelheim

    Antwerp, 02020

  • Ulb Hospital Erasme

    Brussels, 01070

Other trials in Belgium

Denmark2 sites
  • Herlev Og Gentofte Hospital

    Herlev, 02730

  • Vejle Hospital

    Vejle, 07100

Other trials in Denmark

Norway2 sites
  • Haukeland University Hospital

    Bergen, 05021

  • Oslo Universitetssykehus

    Oslo, 00450

Other trials in Norway

Puerto Rico1 site
  • Panoncology Trials Pan American Center For Oncology Trials, Llc

    San Juan, 00935

Other trials in Puerto Rico

About this study

Official title: A Phase 3 Global, Multicenter, Double-Blind Randomized Study of Carboplatin-Paclitaxel With INCMGA00012 or Placebo in Participants With Inoperable Locally Recurrent or Metastatic Squamous Cell Carcinoma of the Anal Canal Not Previously Treated With Systemic Chemotherapy (POD1UM-303/InterAACT 2)

This study is a Phase 3 global, multicenter, placebo-controlled double-blind randomized study that will enroll participants with inoperable locally recurrent or metastatic SCAC not previously treated with systemic chemotherapy.

Being tested
carboplatin, paclitaxel, retifanlimab
Keywords
Squamous cell carcinoma, carboplatin, paclitaxel, PD-1 Inhibitor, Anal Cancer, SCAC
Medical subject headings
Carcinoma, Squamous Cell, Anus Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • carboplatinDrug

    carboplatin will be administered intravenous on Day 1 of each 28 day cycle

  • paclitaxelDrug

    paclitaxel will be administered intravenous on Days 1,8, and 15 of each 28 day cycle

  • retifanlimabDrug

    Also called INCMGA00012

    retifanlimab will be administered intravenous on Day 1 of each 28 day cycle

Study groups in NCT04472429
Study groupRoleWhat they receive
Group A : carboplatin+paclitaxel+placeboPlacebo comparatorParticipants will receive carboplatin on Day 1,paclitaxel on Day1,8, 15, and placebo on Day 1 of each 28 day cycle
Receives: Drug: carboplatin; Drug: paclitaxel
Group B : carboplatin+paclitaxel+retifanlimabExperimentalParticipants will receive carboplatin on Day 1,paclitaxel on Day1,8, 15, and retifanlimab on Day 1 of each 28 day cycle
Receives: Drug: carboplatin; Drug: paclitaxel; Drug: retifanlimab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival (PFS)

    PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD), according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) by blinded independent central review committee (BICR), or death due to any cause, whichever occurred first. PD: progression of a target or non-target lesion or presence of a new lesion.

    Measured: up to 33.9 months

Secondary outcomes (12)
  1. Overall Survival

    Overall survival was defined as the time from the date of randomization until the date of death due to any cause.

    Measured: up to 56.5 months

  2. Objective Response Rate (ORR)

    ORR was defined as the percentage of participants with a confirmed CR or PR at any post-Baseline visit before the first PD or new anticancer therapy, according to RECIST v1.1 as determined by BICR. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 millimeters (mm). PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions.

    Measured: up to 445 days

  3. Duration of Response (DOR)

    DOR was defined as the time from the first documented confirmed response (CR or PR) determined by BICR to the time of first documented disease progression per RECIST v1.1 or death due to any cause. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion.

    Measured: up to 32.1 months

  4. Disease Control Rate (DCR)

    DCR was defined as the percentage of participants maintaining either a confirmed overall response of CR or PR or stable disease (SD) at any post-Baseline visit before the first PD or new anticancer therapy, according to RECIST v1.1 as determined by BICR. CR: disappearance of all target and non-target lesions and no appearance of any new lesions. Any pathological lymph nodes (whether target or non-target) must have a reduction in the short axis to <10 mm. PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum diameters, no new lesions, and no progression of non-target lesions. PD: progression of a target or non-target lesion or presence of a new lesion. SD: no change in target lesions to qualify for CR, PR, or PD.

    Measured: up to 445 days

  5. Number of Participants With Any Treatment-emergent Adverse Event (TEAE ) During the Randomized Period

    An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of a pre-existing events after the first dose of study treatment and within 90 days of the last administration of retifanlimab/placebo, or within 30 days of the last chemotherapy. AEs that occurred after new anticancer therapy were be excluded.

    Measured: up to 535 days

  6. Number of Participants With Any TEAE Leading to Discontinuation of Study Drug During the Randomized Period

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of a pre-existing events after the first dose of study treatment and within 90 days of the last administration of retifanlimab/placebo, or within 30 days of the last chemotherapy. AEs that occurred after new anticancer therapy were be excluded.

    Measured: up to 535 days

  7. Number of Participants With Any TEAE During the Open-label Monotherapy Period

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of a pre-existing events after the first dose of study treatment and within 90 days of the last administration of retifanlimab/placebo. AEs that occurred after new anticancer therapy were be excluded.

    Measured: up 463 days

  8. Number of Participants With Any TEAE Leading to Discontinuation of Study Drug During the Open-label Monotherapy Period

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. TEAEs were defined as any AEs either reported for the first time or the worsening of a pre-existing events after the first dose of study treatment and within 90 days of the last administration of retifanlimab/placebo. AEs that occurred after new anticancer therapy were be excluded.

    Measured: up 463 days

  9. Cmax of Retifanlimab at Steady State When Administered With Carboplatin-paclitaxel

    Cmax was defined as the maximum observed plasma concentration of retifanlimab.

    Measured: preinfusion on Day 1 of Cycles 1, 2, 4, 6, 8, and 12; immediately after infusion on Day 1 of Cycles 1 and 4

  10. Cmin of Retifanlimab at Steady State When Administered With Carboplatin-paclitaxel

    Cmin was defined as the minimum observed plasma concentration of retifanlimab.

    Measured: preinfusion on Day 1 of Cycles 1, 2, 4, 6, 8, and 12; immediately after infusion on Day 1 of Cycles 1 and 4

  11. Tmax of Retifanlimab at Steady State When Administered With Carboplatin-paclitaxel

    tmax was defined as the time to the maximum serum concentration of retifanlimab.

    Measured: preinfusion on Day 1 of Cycles 1, 2, 4, 6, 8, and 12; immediately after infusion on Day 1 of Cycles 1 and 4

  12. AUC of Retifanlimab at Steady State When Administered With Carboplatin-paclitaxel

    AUC was defined as the area under the serum concentration versus time curve.

    Measured: preinfusion on Day 1 of Cycles 1, 2, 4, 6, 8, and 12; immediately after infusion on Day 1 of Cycles 1 and 4

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jul 2020
  2. Study start9 Nov 2020
  3. Primary completion15 Apr 2024
  4. Study completion26 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
308 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04472429
Sponsor's protocol ID
INCMGA 0012-303
Other IDs
2024-512331-72-00, 2020-000826-24
Status last verified
Sep 2026
First submitted
13 Jul 2020
Last updated
25 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
Expanded access
Available

Publications

  • Rao S, Samalin-Scalzi E, Evesque L, Ben Abdelghani M, Morano F, Roy A, Dahan L, Tamberi S, Dhadda AS, Saunders MP, Casanova N, Guimbaud R, Lievre A, Maurel J, Fakih M, Tian C, Harrison J, Jones MM, Cornfeld M, Spano JP, Rochefort P; POD1UM-303/InterAACT-2 study investigators. Retifanlimab with carboplatin and paclitaxel for locally recurrent or metastatic squamous cell carcinoma of the anal canal (POD1UM-303/InterAACT-2): a global, phase 3 randomised controlled trial. Lancet. 2025 Jun 14;405(10495):2144-2152. doi: 10.1016/S0140-6736(25)00631-2.

    PubMed 40517007
  • Rao S, Jones M, Bowman J, Tian C, Spano JP. POD1UM-303/InterAACT 2: A phase III, global, randomized, double-blind study of retifanlimab or placebo plus carboplatin-paclitaxel in patients with locally advanced or metastatic squamous cell anal carcinoma. Front Oncol. 2022 Aug 24;12:935383. doi: 10.3389/fonc.2022.935383. eCollection 2022.

    PubMed 36091159

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing carboplatin, paclitaxel and retifanlimab in people with Squamous Cell Carcinoma of the Anal Canal, run by Incyte Corporation at 84 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 84 sites in France, United States, Italy, United Kingdom, Spain and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 May 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free Survival (PFS) (time frame: up to 33.9 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04472429, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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